Empirical therapy advisor

Before culture results are back: how likely is each antibiotic to cover the pathogen of a patient like this one, in this ward, given the last 12 months of results and today's alerts.

Patient

More options · any onset · target 80 % · 2026-03-15
Based on 449 first isolates · GER · Cystitis (lower UTI) · 2025-03-16 → 2026-03-15
Geriatrics
Per-organism detail: GER urine resistance view →
Narrowest option reaching 80 % coverage, no active warning
nitrofurantoin 85 % (81 %–88 %)
No tissue or blood levels: cystitis only.
Not covered: Proteus mirabilis (7 %), Klebsiella pneumoniae (4 %), Pseudomonas aeruginosa (4 %)
AntibioticCoverage, 12 months (95 % CI)12 mo4 wk
nitrofurantoin NIT
trend · Escherichia coli lower UTI only
85 %
82 %
n = 22
meropenem MEM
trend · Escherichia coli reserve
82 %
86 %
n = 22
piperacillin-tazobactam TZP
trend · Escherichia coli broad spectrum
79 %
77 %
n = 22
mecillinam MEC
trend · Escherichia coli lower UTI only
76 %
77 %
n = 22
ceftriaxone CRO
trend · Escherichia coli
75 %
77 %
n = 22
ciprofloxacin CIP
trend · Escherichia coli
74 %
77 %
n = 22
71 %
77 %
n = 22
trimethoprim TMP
trend · Escherichia coli lower UTI only
68 %
68 %
n = 22
51 %
41 %
n = 22
vancomycin VAN
trend · Enterococcus faecalis Gram-positive only
15 %
14 %
n = 22
clindamycin CLI
trend · Staphylococcus aureus Gram-positive only
4 %
5 %
n = 22
4 %
5 %
n = 22

Most likely organisms for this profile

Escherichia coli
56 %
Enterococcus faecalis
11 %
Klebsiella pneumoniae
9 %
Proteus mirabilis
7 %
Staphylococcus aureus
4 %
Citrobacter freundii
4 %

Decision support only: coverage is the share of first isolates from similar patients that were susceptible (an organism not tested for a drug counts as not covered). It does not replace local treatment guidelines, allergy and severity assessment, or clinical judgement. The black tick on each bar is the coverage target; the bracket is the 95 % confidence interval.

AEI · Tyks Laboratoriot × Mylab · JunctionX Turku. Synteettinen aineisto; EARS-Net-luvut: ECDC.